School of Nursing, Department of Nursing, China Medical University Hospital, Taichung, Taiwan.
J Psychiatr Ment Health Nurs. 2012 May;19(4):319-26. doi: 10.1111/j.1365-2850.2011.01795.x. Epub 2011 Aug 24.
The purpose of this study was to explore the influencing factors in the substantive theory of home care for people with schizophrenia in Taiwan. The grounded theory of Strauss and Corbin approach was used. Semi-structured one-to-one in-depth interviews were utilized to collect data. Constant comparative analysis continued during the open, axial and selective coding processes until data saturation occurred. Participants were selected using theoretical sampling, and the final sample in this study consisted of a total of 29 community nurses (18 public health nurses and 11 home health nurses) who provided community mental health home-visiting services. The public health nurses and home health nurses both conducted a total of 16 (eight carers and eight clients) home visits. Four categories and 12 subcategories of influencing factors were identified; these factors have both positive and negative effects on nursing roles and the functions of public health nurses in the mental health home-visiting service in Taiwan. The influencing factors identified support the importance of home care services.
本研究旨在探讨台湾地区精神分裂症患者居家护理实质理论的影响因素。采用 Strauss 和 Corbin 的扎根理论方法。采用半结构式一对一深入访谈收集数据。在开放式、轴向和选择性编码过程中持续进行恒比分析，直到达到数据饱和。使用理论抽样选择参与者，本研究的最终样本包括 29 名社区护士（18 名公共卫生护士和 11 名家庭健康护士），他们提供社区心理健康家访服务。公共卫生护士和家庭健康护士共进行了 16 次（8 名照顾者和 8 名患者）家访。确定了四个类别和 12 个子类别影响因素；这些因素对护理角色以及台湾地区精神健康家访服务中公共卫生护士的功能既有积极影响也有消极影响。确定的影响因素支持居家护理服务的重要性。
